MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) – Family Nurse Practitioner, NPI 1023565132

MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) is a healthcare provider. based in Arrington, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 0024173886 (VA). The NPI Number for MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) is 1023565132

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)
NPI
1023565132
Phone
(434) 263-4000
Address
4038 THOMAS NELSON HWY
Enumeration Date
7 September 2016
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4342634000
Graduation Year
2016 (10 years ago)
PAC ID
2961783451
Group Practice PAC ID
9739082520
Professional Enrollment ID
I20161220002504
Address ID
VA245224031AP624XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

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Provider Addresses for MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)

  • Blue Ridge Medical Center, 4038, Thomas Nelson Highway, Colleen, Nelson County, Virginia, 22922, United States

    ARRINGTON, VA 229222302

    Phone: (434) 263-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $620.

Total Amount is formed as General ($620) + Research ($0) + Ownership ($0) = $620.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($152).

Total Amount

$620

General + Research + Ownership

Payments

30

Total payment records

General Amount

$620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161220002504INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level5839$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4338$0
81002Urinalysis, manual test3127$0
87804Detection test by immunoassay with direct visual observation for influenza virus2423$0
71046X-ray of chest, 2 views1615$0
View full utilization report →

Insurance plans in this area (ZIP 22922)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739082520View full group profile
NameSpecialtyState
Physician AssistantVA
Nurse PractitionerVA
Nurse PractitionerVA
-VA
Nurse PractitionerVA
Physician AssistantVA
-VA
Nurse PractitionerVA
Mental Health CounselorVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What identifier follows MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) across health systems?
The NPI 1023565132 uniquely identifies MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) in U.S. healthcare data.
Quick check: is MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) active?
Public NPPES data shows MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) with an active NPI status right now.
What services align with MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)'s listing?
MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)?
MR. BENJAMIN ELLIOTT NISSLEY (FNP-C) is associated with Arrington, Virginia in the same public data insurers reference.
Can I export MR. BENJAMIN ELLIOTT NISSLEY (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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